JAMA Otol Logo Orlando 2013 AHNS Meeting Location
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American Head & Neck Society
Annual Meeting, April 10-11, 2013
JW Marriott Grande Lakes
Orlando, Florida

During the
Combined Otolaryngology Spring Meeting
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EFFECT OF SOCIOECONOMIC STATUS ON PERI-OPERATIVE MORBIDITY IN HEAD AND NECK CANCER PATIENTS

Presentation: P043
Topic: Clinical - Gen. Head & Neck Surgery
Type: Poster
Date: Wednesday - Thursday, April 10 - 11, 2013
Session: Designated Poster viewing times
Authors: Caroline C Xu, MD, Andre Isaac, Peter T Dziegielewski, MD, FRCSC, Daniel A O'Connell, MD, FRCSC, Jeffrey R Harris, MD, FRCSC, Hadi Seikaly, MD, FRCSC
Institution(s): University of Alberta

 

Objective: To determine whether level of education, income, and other socioeconomic factors are predictors of surgical outcomes in patients diagnosed with HNSCC.

 

Design: Prospective study

Setting: Tertiary academic head and neck oncology referral center

Patients: Consecutive patients with pathologic diagnosis of SCC undergoing primary surgical resection and reconstruction

Interventions: A pre-operative survey was used to prospectively collect information regarding patient’s level education, household income, and other demographic information. Charlson Co-Morbidity Index, Chronic Disease Score, and self-reported tobacco and alcohol usage were also collected.

Main Outcome Measures: Total length of stay, length of intensive care unit (ICU) stay, and number of early and late post-operative complications.

Results: Socioeconomic status information was collected for 52 patients. An increased level of education directly correlated with decreased number of post-operative complications (R2 = 0.92) and decreased days to decannulation (R2 = 0.69). Patients of higher income tended to have reduced length of stay (R2 = 0.33). There was no difference in average age, CCI or CDS score, BMI, pre-albumin level, or length of operation between socioeconomic groups. There was no difference in length of stay, number of complications, or length of stay in the ICU between employed and unemployed patients.

Conclusions: Patients of lower socioeconomic status have increased rates of complication and prolonged stay after major head and neck reconstruction.

 

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